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FORMS FOR ACCOMMODATION AND FOR CAMPING

Please fill in the appropriate form and click SUBMIT (details are sent to Matthew & Tina's email address)

(Alternatively, you may want to print from your browser after filling it in, and then fax the form)

 

APPLICATION FORM FOR THOSE REQUIRING ACCOMMODATION  (Campers - Please see form below)

Direct Bank Payments
bulletAccount Name: Reformed Conference
bulletAccount Number: 1905153953
bulletBank: Nedbank (Current a/c) Branch: Florida (branch code not required)
Cheques may be deposited directly into our bank account. Please confirm booking by FAXING DEPOSIT SLIP + YOUR NAME AS REFERENCE + COPY OF YOUR APPLICATION FORM TO PIETERSE: 0880116724141 (even if you have previously submitted an application form). Electronic transfers, with your NAME as beneficiary reference, may be done & receipt emailed to mpieterse@erc.za.org or gracecc1@telkomsa.net
Details of ALL attending conference No

Cost per person

TOTALS

 Surname and names of all attending conference (helps with planning of accommodation)

Ages of all attending
Surname First Name
No. of Adults

R1200

No. of Scholars (13-18)

R1125

No. of Scholars (7-12)

R975

No. of Children (4-6)

R 600

No. of Babies ( <  3 if meals requ'd)

R 265

Do you  need a cot?

TOTAL TO PAY

Postal Address

E-Mail Address

Home Address

Church

Phone No (Home)

Phone No (Work) Is this your first visit?          
Fax No (Home) Fax No (Work) Comments

TRANSPORT
Can you offer a lift?

How many?

When? (Day) Time

 

 

 

 

 

 

 

 

APPLICATION FORM FOR CAMPERS

Direct Bank Payments
bulletAccount Name: Reformed Conference
bulletAccount Number: 1905153953
bulletBank: Nedbank (Current a/c) Branch: Florida (branch code not required)
Cheques may be deposited directly into our bank account. Please confirm booking by FAXING DEPOSIT SLIP + YOUR NAME AS REFERENCE + COPY OF YOUR APPLICATION FORM TO PIETERSE: 0880116724141 (even if you have previously submitted an application form). Electronic transfers, with your NAME as beneficiary reference, may be done & receipt emailed to mpieterse@erc.za.org or gracecc1@telkomsa.net
Details of ALL attending conference No

Cost per person

TOTALS

 Surname and names of all attending conference (helps with planning of accommodation)

Ages of all attending
Surname First Name
No. of Adults

R 425

No. of Scholars (7-18)

R 300

No. of Children (4-6)

R 0

 

No. of Babies ( <  3 )

R 0

 

 

 

TOTAL TO PAY

Postal Address

E-Mail Address

Home Address

Church

Phone No (Home)

Phone No (Work) Is this your first visit?          
Fax No (Home) Fax No (Work) Comments

TRANSPORT
Can you offer a lift?

How many?

When? (Day) Time

 

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Last modified: July 01, 2008